Efficacy of the “Cooperative Assessment” Diagnostic Procedure to Early Improve Acute Symptoms in a Sample of Adolescents with Anxiety and Mood Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S122-S123
Author(s):  
M. Biagiarelli ◽  
M. Curto ◽  
M.P. Andraos ◽  
V. Aprile ◽  
S. Pelaccia ◽  
...  
Keyword(s):  
Mood Disorders ◽  
Repeated Measures ◽  
Poor Mental Health ◽  
Rank Test ◽  
Therapeutic Assessment ◽  
Test Results ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Competing Interest

IntroductionAnxiety and mood disorders are common in adolescence and predict poor mental health outcomes and low quality of life in adulthood. Although early intervention seems to be critical, dropouts in the early stages of treatment are frequent and associated with low insight and severe symptoms. Therefore, a diagnostic assessment phase aimed to increase insight and early reduce symptoms appears to be essential in adolescents.ObjectivesThe objective of this study is to demonstrate that the diagnostic method Cooperative Assessment is able to early reduce symptoms in adolescents with anxiety and mood disorders.MethodsA sample of 88 patients, aged 14–19 years were included. All were recruited at the first visit and evaluated with the Cooperative Assessment. This manualized procedure was created from principles of collaborative and therapeutic assessment and aim to involve the patient in a co-developed diagnosis thorough the collaborative use of test results. Patients were evaluated before (T0), in the middle (T1) and after (T2) the assessment using CGI, GAF, HAM-A, HAM-D and MRS scales.ResultsEighty-eight adolescents, 56.8% females, diagnosed with anxiety (47.7%) and mood disorders (52.3%) completed the protocol. HAM-A, HAM-D, MRS, CGI and GAF significantly improved at T1 and T2 with respect to T0 (T0: HAM-A 17.31 ± 8.22; HAM-D 16.97 ± 8.37; MRS5.78 ± 6.17; GAF 59.3 ± 11.06; CGI 3.63 ± 1.35; T2: HAM-A 11.41 ± 6.82; HAM-D 11.1 ± 6.91; MRS3.82 ± 3.87; GAF 67.5 ± 10.76; CGI 3.03 ± 1.26; P < 0.001; Wilcoxon signed-rank test for repeated measures).ConclusionsCooperative assessment is able to early improve symptoms in adolescents with mood and anxiety disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The effect of 8-week thera-band exercises on male swimmers’ 100 m freestyle swimming performance

2017 ◽  
Vol 14 (4) ◽  
pp. 3950 ◽  
Author(s):  
Ahmet Gönener ◽  
Utku Gönener ◽  
Ozan Yılmaz ◽  
Tuğçe Horoz ◽  
Deniz Demirci
Keyword(s):  
Swimming Performance ◽  
Training Programme ◽  
Rank Test ◽  
Control Group ◽  
Study Group ◽  
Test Results ◽  
Signed Rank ◽  
Post Test ◽  
Signed Rank Test ◽  
And Control

The aim of this study is to investigate 8 weeks Thera-Band trainings' effects on male swimmers' 100 m freestyle swimming performance.The study group is created by 20 (n = 20) licenced male athletes that had trained at least 3 days in a week and have been active in swimming sport at least 3 years in Gebze Genclerbirligi Swimming Club 20 (n = 20). Athletes were divided into experiment group (n = 10) and control group (n = 10) randomly. Training programme was applied to the study group for 55-60 minutes for 3 days on alternate days and times when the club does not have swimming training. 12 different Thera-Band trainings were applied for 40-45 mins and each set was 15 minutes.Mann-Whitney U test was used to analyze differences between groups and Wilcoxon signed rank test was applied for analyzing the differences of intra-groups. SPSS 21.0 Statistics package software was used for statistical analyzes. The results show that there are no significantly differences between experimental group's and control group's post test results. (p>0.05). Statistically significant differences are found as a result of intra-group comparison of the experimental group's pre-test and post-test results (p<0.05).Depending on the results obtained after reviewing the literature, it can be concluded that Thera-Band training is effective on the performance improvement of swimmers aged 13-15 years.

scholarly journals A Large Randomized Trial: Effects of Mindfulness-Based Stress Reduction (MBSR) for Breast Cancer (BC) Survivors on Salivary Cortisol and IL-6

2018 ◽  
Vol 21 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Cecile A. Lengacher ◽  
Richard R. Reich ◽  
Carly L. Paterson ◽  
Melissa Shelton ◽  
Steve Shivers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Stress Reduction ◽  
Salivary Cortisol ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Mindfulness Based Stress Reduction

Breast cancer survivors (BCS) often experience psychological and physiological symptoms after cancer treatment. Mindfulness-based stress reduction (MBSR), a complementary and alternative therapy, has reduced subjective measures of stress, anxiety, and fatigue among BCS. Little is known, however, about how MBSR affects objective markers of stress, specifically the stress hormone cortisol and the pro-inflammatory cytokine interleukin-6 (IL-6). In the present study, BCS ( N = 322) were randomly assigned to a 6-week MBSR program for BC or usual-care control. Measurements of cortisol, IL-6, symptoms, and quality of life were obtained at orientation and 6 weeks. Cortisol and IL-6 were also measured prior to and after the MBSR(BC) class Weeks 1 and 6. The mean age of participants was 56.6 years and 69.4% were White non-Hispanic. Most had Stage I (33.8%) or II (35.7%) BC, and 35.7% had received chemotherapy and radiation. Cortisol levels were reduced immediately following MBSR(BC) class compared to before the class Weeks 1 and 6 (Wilcoxon-signed rank test; p < .01, d = .52–.56). IL-6 was significantly reduced from pre- to postclass at Week 6 (Wilcoxon-signed rank test; p < .01, d = .21). No differences were observed between the MBSR(BC) and control groups from baseline to Week 6 using linear mixed models. Significant relationships with small effect sizes were observed between IL-6 and both symptoms and quality of life in both groups. Results support the use of MBSR(BC) to reduce salivary cortisol and IL-6 levels in the short term in BCS.

scholarly journals The Incidence and Severity of Drug Interactions Before and After Antiretroviral Therapy Simplification in Treatment-Experienced Patients With HIV Infection

2019 ◽  
Vol 54 (1) ◽  
pp. 36-42
Author(s):  
Nicholas V. Hastain ◽  
Aleena Santana ◽  
Jason J. Schafer
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Drug Interactions ◽  
Patient Adherence ◽  
Potential Interaction ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test

Background: Current guidelines advocate for antiretroviral therapy (ART) simplification in patients on complicated regimens. Simplifying ART improves patient adherence and quality of life, but changes in drug interactions (DIs) are uncertain. Objective: This study assessed changes in DIs following ART simplification in patients with HIV. Methods: This was an observational, retrospective cohort study of patients attending an urban HIV clinic. Patients were included if they had ART simplification (a decreased number of daily tablets) and ≥1 concomitant medication (CM). Total DI scores were generated for each patient pre–ART simplification and post–ART simplification using an online DI database. Each ART-CM pair labeled as “do not co-administer” was given a score of 2, “potential interaction” a score of 1, or “no interaction” a score of 0. Differences in total DI scores following simplification were analyzed with a Wilcoxon Signed-Rank test. Predictors of DI score reductions were examined with linear regression. Results: A total of 99 patients were included. Their median age was 54 years, and 79% were male. The median durations of HIV infection and ART were 16 and 10 years, respectively. Patients were receiving an average of 4.5 CMs. Median interaction scores presimplification and postsimplification were 3 (interquartile range [IQR], 1-6) and 1 (IQR, 0-2) respectively ( P < 0.001). Predictors of score reductions were the patient’s number of CMs, discontinuing a protease inhibitor, and switching to a dolutegravir-based regimen. Conclusion and Relevance: ART simplification decreased the incidence of DIs in this analysis of patients with advanced age who had ART experience and polypharmacy.

The Effect of Breast Treatment and Oxytocin Massage on the Production of Breast Milk

2020 ◽  
Vol 17 (7) ◽  
pp. 3047-3052
Author(s):  
Ganis Amaliasari ◽  
Harmayetty ◽  
Retnayu Pradanie
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Comparison Group ◽  
Post Partum ◽  
Rank Test ◽  
Test Results ◽  
Breast Milk Production ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Breast Care

Breastfeeding is a normal process following childbirth. However, post partum mothers often complain several problems during breastfeeding. A problem that is often complained of by post partum mothers is the lack of breast milk supply. The lack of breast milk production will interfere with the process of breastfeeding, which is one of the causing factors as to why certain mothers do not exclusively breastfeed. To find out the effect of breast care and oxytocin massage on increasing milk production in post partum mothers. This research uses a quasi-experimental design. The population in this study were all primiparous post partum mothers with lactation period of 0-7 days. A total of 20 mothers participated in this study and was divided into two groups namely the treatment group and the comparison group. The samples were obtained using purposive sampling. There are independent variables (breast care and oxytocin massage) and dependent variables (milk production). Data collection was performed using a questionnaire, then analyzed using the test Wilcoxon Signed Rank Test and Mann Whitney Test. Wilcoxon Signed Rank Test Results of breast milk production of (p = 0.003) in the treatment group, while in the comparison group the breast milk production was (p = 0.014). The Mann Whitney Test results show that p = 0.004. It can be concluded that breast care and oxytocin massage effectively increase the milk production of post partum mothers. The therapy is recommended for health professionals to apply breast care and oxytocin massage to increase the milk production of post partum mothers who have less milk production. Combination of breast care and oxytocin massage have more effective benefits in increasing the breast milk production of postpartum mothers.

scholarly journals Comparing QuantiFERON-TB Gold Plus with Other Tests To Diagnose Mycobacterium tuberculosis Infection

2019 ◽  
Vol 57 (11) ◽  
Author(s):  
Thara K. Venkatappa ◽  
Rose Punnoose ◽  
Dolly J. Katz ◽  
Michael P. Higgins ◽  
Niaz Banaei ◽  
...  
Keyword(s):  
Latent Tuberculosis ◽  
Epidemiologic Studies ◽  
Tuberculosis Infection ◽  
Fourth Generation ◽  
Rank Test ◽  
Test Results ◽  
Mycobacterium Tuberculosis Infection ◽  
Negative Results ◽  
Signed Rank ◽  
Signed Rank Test

ABSTRACT The fourth-generation QuantiFERON test for tuberculosis infection, QuantiFERON-TB Gold Plus (QFT-Plus) has replaced the earlier version, QuantiFERON-TB Gold In-Tube (QFT-GIT). A clinical need exists for information about agreement between QFT-Plus and other tests. We conducted this study to assess agreement of test results for QFT-Plus with those of QuantiFERON-TB Gold In-Tube (QFT-GIT), T-SPOT.TB (T-SPOT), and the tuberculin skin test (TST). Persons at high risk of latent tuberculosis infection (LTBI) and/or progression to tuberculosis (TB) disease were enrolled at the 10 sites of the Tuberculosis Epidemiologic Studies Consortium from October 2016 through May 2017; each participant received all four tests. Cohen’s kappa (κ) and Wilcoxon signed-rank test compared qualitative and quantitative results of QFT-Plus with the other tests. Test results for 506 participants showed 94% agreement between QFT-Plus and QFT-GIT, with 19% positive and 75% negative results. When the tests disagreed, it was most often in the direction of QFT-GIT negative/QFT-Plus positive. QFT-Plus had similar concordance as QFT-GIT with TST (77% and 77%, respectively) and T-SPOT (92% and 91%, respectively). The study showed high agreement between QFT-GIT and QFT-Plus in a direct comparison. Both tests had similar agreement with TST and T-SPOT.

scholarly journals Diseño y validación de un cuestionario sobre la usabilidad y la calidad técnica de un software deportivo (Design and validation of a questionnaire on the usability and technical quality of a sport software)

Retos ◽  
2019 ◽  
pp. 386-392
Author(s):  
María del Carmen Juan Llamas
Keyword(s):  
External Validation ◽  
Rank Test ◽  
Technical Quality ◽  
Spearman Correlation ◽  
Clear Trend ◽  
Final Version ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Analysis Of Results

En la sociedad actual, en la que existe una clara tendencia al uso constante de tecnologías, se ha observado un escaso número de herramientas para la medición de la calidad de software deportivo. A través de la creación, validación y administración del cuestionario CUPEA, se pretende valorar dicha característica, además de verificar el nivel de aceptación de la aplicación entre los usuarios y su utilidad real. La validación del contenido, redacción y pertinencia de los ítems creados se consiguió a través de las valoraciones realizadas por 14 jueces expertos. La validación externa se obtuvo mediante la aplicación de la prueba test-retest a una muestra de 23 participantes de la Comunidad de Madrid. Posteriormente, se procedió a la comprobación de la fiabilidad del cuestionario mediante el coeficiente de correlación de Spearman; y para saber si existían diferencias significativas entre las respuestas dadas por el mismo sujeto se utilizó la prueba de los rangos con signo de Wilcoxon. Una vez diseñado y validado el cuestionario final, se procedió a efectuar una prueba experimental con 42 participantes para un software concreto, Easy_Aerobics. Del análisis e interpretación de los resultados obtenidos del cuestionario se ha podido concluir que se han respetado los criterios de fiabilidad, funcionalidad y usabilidad en su implementación, y CUPEA se ha mostrado como una herramienta válida para la medición de la usabilidad y de la calidad técnica del software.Abstract. Nowadays, in a society with a clear trend towards a wide use of technologies, only few tools to measure the quality of sports software have been developed. This study seeks to assess the quality and also to verify the usefulness and acceptance of a sports software, by means of creating and validating the CUPEA questionnaire to be administered to real users. Validation of content and relevance was achieved through the assessment of 14 expert referees. External validation was obtained by a test-retest procedure applied to a sample of 23 participants from the region of Madrid (Spain). Reliability of the questionnaire was verified using the Spearman correlation, while the Wilcoxon signed-rank test was emplyed to look for significant differences between test and retest. After its design and validation, the final version of the questionnaire CUPEA was obtained. An experimental test was carried out with 42 users of Easy_Aerobics. Analysis of results allows us to conclude that criteria of reliability and usability have been observed, and CUPEA has proven to be a valid tool for measuring usability and technical quality of the software.

scholarly journals Pengaruh Program Empathic Caring Consultation terhadap Professional Quality of Life Pada Psikolog

2020 ◽  
Vol 12 (2) ◽  
pp. 97-106
Author(s):  
Anya Asbar ◽  
Maya Khairani ◽  
Marty Mawarpury
Keyword(s):  
Quality Of Life ◽  
Sampling Method ◽  
Rank Test ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Signed Rank ◽  
Before And After ◽  
Post Test ◽  
Signed Rank Test

This study aims to determine the effect of the Empathic Caring Consultation (ECC) program on Professional Quality of Life (ProQOL) in psychologists. This study involved seven psychologists. The research sample was taken using purposive sampling method. The research method used was one group pretest-post test design. ProQOL is measured using the Professional Quality of Life Version V scale, while the implementation of ECC training refers to the concept of Prawitasari. Analysis using Wilcoxon signed-rank test with a significant value (p) = 0.340 (BO); 0.932 (STS); 0.496 (CS) (p> 0.05). The results of the study showed that there was no effect of the ECC program on ProQOL on psychologists. This is because there are several variations of the three ProQOL components before and after treatment.

scholarly journals REDUKSI MISKONSEPSI ASAM BASA MELALUI INKUIRI TERBUKA DAN STRATEGI CONCEPTUAL CHANGE

2017 ◽  
Vol 3 (1) ◽  
pp. 286
Author(s):  
Ahmad Ahmad ◽  
Suyono Suyono ◽  
Leny Yuanita
Keyword(s):  
Critical Thinking ◽  
Conceptual Change ◽  
Inquiry Learning ◽  
T Test ◽  
Rank Test ◽  
Test Results ◽  
Signed Rank ◽  
Significant Difference ◽  
Before And After ◽  
Signed Rank Test

This research aims to study the effect of inquiry learning by critical thinking practice followed by a conceptual change efforts to reduce misconceptions on acid-base learn. The research design using one-group pretest-posttest design with students of SMAN 2 Ngawi as sample research. The student conception  status finding by knowing concept (TK), not knowing concept (TTK), and misconception (MK), whereas intensity of misconception be analized by CRI. Results and analysis of research data found that there is a shift in conception after inquiry learning p rocess. Based on Wilcoxon’s signed rank test, the T value of test TK, TTK, and MK is less than T table at α = 0.05 , so it was concluded that inquiry learning increase TK and decrease TTK and MK. The influence of inquiry learning for understanding the influence was strengthened by the results of the t test tests before and after understanding the concept of inquiry learning that indicate a significant difference.  t-test results on tests of critical thinking before and after the inquiry learning also showed a significant difference. Inquiry learning can not reduce all of misconceptions. Reduction step again is with conceptual change. Based on Wilcoxon’s signed rank test was concluded that conceptual change learning can reduce misconception significantlyPenelitian ini bertujuan mempelajari pengaruh pembelajaran inkuiri terbuka disertai latihan berpikir kritis yang dilanjutkan dengan conceptual change sebagai upaya mereduksi miskonsepsi pada materi asam basa. Penelitian eksperimen semu ini menggunakan metode one group pretest-postest design dengan subyek penelitian  siswa kelas XI SMA Negeri 2 Ngawi. Profil konsepsi siswa dinyatakan dengan status tahu konsep (TK), tidak tahu konsep (TTK), dan miskonsepsi (MK), sedangkan intensitas miskonsepsi diperoleh dari hasil analisis CRI jawaban siswa.  Hasil dan analisis hasil tes pemahaman konsep menemukan bahwa terjadi pergeseran konsepsi setelah proses pembelajaran inkuiri terbuka. Berdasarkan wilcoxon’s signed rank test diperoleh T hitung untuk semua status TK, TTK, dan MK kurang dari nilai T tabel pada α = 0,05 dan n = 25, sehingga   disimpulkan bahwa pembelajaran inkuiri meningkatkan jumlah TK dan menurunkan TTK dan MK.  Pengaruh pembelajaran inkuiri terhadap pemahaman konsep serta kemampuan berpikir kritis diketahui dari uji t hasil tes pemahaman konsep serta tes berpikir kritis sebelum dan setelah pembelajaran. Hasil uji t pada α = 0,05 menunjukkan adanya perbedaan signifikan pemahaman konsep serta kemampuan berpikir kritis antara sebelum dan setelah pembelajaran inkuiri. Miskonsepsi yang masih tersisa setelah pembelajaran inkuiri direduksi kembali dengan strategi   conceptual change. Berdasarkan wilcoxon’s signed rangk test disimpulkan bahwa pembelajaran conceptual change dapat mereduksi miskonsepsi secara signifikan.

scholarly journals Effectiveness of surgical management of malignant glaucoma in phakic eyes

2022 ◽  
Vol 15 (1) ◽  
pp. 65-70
Author(s):  
Qi-Wei Wang ◽  
◽  
Xiao-Shan Lin ◽  
Wan Chen ◽  
Qiao-Lin Zhu ◽  
...  
Keyword(s):  
Anterior Chamber Depth ◽  
Case Series ◽  
Rank Test ◽  
Test Results ◽  
Iol Implantation ◽  
Signed Rank ◽  
Malignant Glaucoma ◽  
Long Time ◽  
Signed Rank Test ◽  
Phakic Eyes

AIM: To assess the effectiveness of core vitrectomy-phacoemulsification-intraocular lens (IOL) implantation-capsulo-hyaloidotomy in treating phakic eye at least 1mo after the onset of malignant glaucoma. METHODS: A retrospective analysis were performed on malignant glaucoma patients treated in Zhongshan Ophthalmic Center between 2016 and 2018. Demographic and clinical data were described. The preoperative and postoperative visual acuity (VA), intraocular pressure (IOP), number of IOP-lowering medications used, and anterior chamber depth (ACD) of the case series were compared by Wilcoxon signed-rank test. RESULTS: Thirteen phakic eyes with long time intervals between onset and surgery were identified in this case series. Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy reduced the IOP (P=0.046) and the number of IOP-lowering medications used (P=0.004), deepened the ACD (P=0.005). Complete success was achieved in 38.5% of the eyes, and anatomical success was achieved in 100% of the eyes without any recurrence. The only postoperative complication observed is corneal endothelial decompensation. It occurred in two cases. CONCLUSION: Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy is safe and effective for treatment of long onset phakic malignant glaucoma.

scholarly journals Analisis Tingkat Kepuasan Konsumen Berdasarkan Kualitas Pelayanan pada Pengunjung Objek Wisata Pantai Pulau Merah Kabupaten Banyuwangi

2018 ◽  
Vol 5 (2) ◽  
pp. 189
Author(s):  
Mohamad Jajang I ◽  
Diah Yulisetiarini ◽  
Hadi P
Keyword(s):  
Consumer Satisfaction ◽  
Sampling Method ◽  
Quality Of Services ◽  
Rank Test ◽  
Physical Evidence ◽  
Level Of Satisfaction ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test

This article aim to anayze the level of satisfaction of customer on the quality of services that includes physical evidence, dependability, responsiveness, assurance, and empathy on subjects tourist Red Island Beach. The population in this research was visitors of The Red Island Beach. Sampling method used was non-probability sampling namely purposive sampling with the number of respondents as much as 108 people. Variables used the quality of services. The analysis methode uses Service Quality (SERVQUAL).The results demonstrates  that 1) physical evidence has eight indicator which all indicators showed satisfaction visitors of Red Island Beach.2) dependability indicator having two roomates they showed satisfaction visitors of Red Island Beach. 3) responsiveness indicator having two roomates they showed satisfaction visitors of Red Island Beach. 4) assurance indicator having two roomates they showed satisfaction visitors of Red Island Beach .5) empathy have five indicator roomates showed satisfaction reviews those five visitors of coastal islands red. Keyword: Consumer Satisfaction, Quality of Service, Servqual, Wilcoxon Signed Rank Test. 

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